Abstract
Retained surgical gauze is a rare but known problem in patients who have medical history of surgery. Suspicion and evaluation of this rare condition is sometimes very difficult for the clinician because retained surgical sponges can be totally asymptomatic or can hide themselves perfectly in the plain abdominal films. For this reason clinican should excersize high rate of suspicion, should not solely depend upon plain films and should consider more sophisticated examinations like ultrasonography (US) or computerized tomography for the appropriate management of these retained sponges. We present here a very unusual and late presentation of surgically retained gauze which gave a false appearance of a kidney with decreased functional activitity in the excretory urography (EU) 32 years after nephrectomy.
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Botet del Castillo FX, Lopez S, Reyes G, Salvador R et al (1995) Diagnosis of retained abdominal gauze swabs. Br J Surg 82(2):227–228
Uribe CA, Castellanos RI, Velez A et al (2002) Unusual cause of a mass in the upper pole of a right kidney: a case report. Arch Esp Urol 55(8):958–959
Liessi G, Semisa M, Sandini F et al (1989) Retained surgical gauzes: acute and chronic CT and US findings. Eur J Radiol 9(3):182–186
Choi BI, Kim SH, Yu ES et al (1988) Retained surgical sponge: diagnosis with CT and sonography. AJR Am J Roentgenol 150(5):1047–1050
Zbar AP, Agrawal A, Saeedi IT et al (1998) Gossypiboma revisited:a case report and review of the literature. J R Coll Surg Edinb 43:417–418
Williams RG, Bragg DG, Nelson JA (1978) Gossypiboma—the problem of the retained surgical sponge. Radiology 129:323–326
Fariña LA, Villavicencio H, Chechile G (1995) Preoperatively recognized chronically retained pararenal gauzoma. Int Urol Nephrol 27(1):33–35
Cokelaere K, Vanvuchelen J, Michielsen P et al (2001) Epithelioid angiosarcoma of the splenic capsule. Report of a case reiterating the concept of inert foreign body tumorigenesis. Virchows Arch 438:398–403
Agras K, Serefoglu EC, Duran E et al (2007) Retroperitoneal textiloma mimicking a renal tumor: case report. Int Urol Nephrol 39(2):401–403
Arpit N, Abhijit R, Narlawar RS et al (2002) Gauze pad in the abdomen: can you give the diagnosis without knowing the history? J Radiol (http://www.jradiology.com/arts/50.pdf). Accessed 1 Jan 2008
Lin TY, Chuang CK, Wong YC et al (1999) Gossypiboma:migration of retained surgical gauze and spontaneous transurethral protrusion. BJU Int 84:879–880
Grassi N, Cipolla C, Torvica A et al (2008) Trans-visceral migration of retained surgical gauze as a cause of intestinal obstruction: a case report. J Med Case Reports 2:17. doi:10.1186/1752-1947-2-17
Yaycioglu O, Ulusan S, Ezer A et al (2007) Ureteroappendiceal fistula due to gossypiboma. Urol Int 79(2):187–188
Bilen CY, Asci R, Sarikaya S et al (2005) Case series: pseudotumor formation in bladder as a late complication of pelvic and inguinal surgeries. Int Urol Nephrol 37:707–711
Olnick HM, Weens HS, Rogers JV Jr (1955) Radiological diagnosis of retained surgical sponges. JAMA 159:1525–1527
Choi BI, Kim SH, Yu ES et al (1988) Retained surgical sponge: diagnosis with CT and sonography. AJR Am J Roentgenol 150:1047–1050
Chau WK, Lai KH, Lo KJ (1984) Sonographic findings of intraabdominal foreign bodies due to retained gauze. Gastrointest Radiol 9:61–63
Macario A, Morris D, Morris S (2006) Initial clinical evaluation of a handheld device for detecting retained surgical sponges using radiofrequency identification technology. Arch Surg 141:659–662
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Cevik, I., Dillioglugil, O., Ozveri, H. et al. Asymptomatic retained surgical gauze towel diagnosed 32 years after nephrectomy. Int Urol Nephrol 40, 885–888 (2008). https://doi.org/10.1007/s11255-008-9383-2
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DOI: https://doi.org/10.1007/s11255-008-9383-2